Individual
BRIANNA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5467 N SEYMOUR RD, FLUSHING, MI 48433-1003
(810) 407-3050
Mailing address
5467 N SEYMOUR RD, FLUSHING, MI 48433-1003
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT3145
ME
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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